I have occasionally quoted my cousin Mort, a noted cardiologist, on issues involving medical care. He recently shared with me his concerns over the challenge of providing appropriate–or even barely adequate–medical care to women in the wake of the Dobbs decision. In Indiana, this is a huge problem, because–unlike other states– We the People lack any effective electoral mechanism to reverse our GOP-dominated legislature’s assaults on reproductive liberties.
As I was reading my cousin’s email, it occurred to me that while Indiana voters might not be able to mount a referendum, we do have a way to send a message to the pious, self-important legislators who think that occupying a gerrymandered seat in the General Assembly entitles them to overrule people with specialized expertise who actually know what they’re doing.
That message is our vote.
Here’s my proposal: Every pro-choice voter in Indiana should go to the polls and vote Blue “all the way down.” In addition, they should make sure their state senators and representatives know that their vote is tied to reproductive choice–by posting on social networks, writing their legislators, or by carrying a sign or wearing a t-shirt saying “pro-choice voter” when they go to the polls.
As my cousin knows–and Indiana’s Republican legislators evidently don’t– reproductive autonomy isn’t just about being forced to give birth; it is often a matter of life and death.
The U.S. House of Representatives Energy and Commerce Committee’s Ranking Member, Frank Pallone, Jr. (D-NJ), has recently released a 40-page report detailing the findings of a 10-month-long investigation into the impact of the Supreme Court’s Dobbs vs. Jackson ruling on the practice of obstetrics and gynecology. This was the court’s decision on June 24, 2022, that took away a woman’s previously recognized constitutional right to abortion and gave states the right to limit or outlaw abortions.
In September 2023, Pallone launched the investigation to examine how providers and, by extension, their patients, are impacted by the Dobbs decision. In conducting the investigation to determine the effects on medical practice, the Democratic Committee staff interviewed OB–GYN educators and resident physicians. The investigation disclosed alarming effects that included the following:
- Providers are seeing sicker patients suffering from greater complications due to delayed care caused as a result of the Dobbs decision.
- The Dobbs decision has harmed the training of OB–GYN residents in restrictive states.
- Residency applicants are increasingly concerned about the quality of abortion training programs offered in restrictive states.
- Residency directors are finding restrictions on clinical communication are degrading trust between providers and patients and are robbing patients of the ability to make informed decisions about their health.
- The training of OB–GYN residents in abortion-protective states has been harmed as programs in those states strain their capacity and resources to help train out-of-state residents from restrictive states.
- Restrictive state laws are already leading us to a future with a provider workforce less prepared to provide comprehensive reproductive health care.
- OB–GYN residents and program directors are increasingly frustrated, discouraged, and experiencing negative mental health effects in the aftermath of the Dobbs decision.
- Residency program leaders who participated in the report universally agreed that abortion care is integral to other components of reproductive health care and should not be eliminated or isolated from residency training.
- After Dobbs, OB–GYN residency applicants more strongly preferred programs in states that permit abortion access.
- A patchwork of state restrictions is leading to disparate systems of reproductive health care, worsening reproductive and maternal health care shortages, and fracturing the OB–GYN workforce.
As my cousin concluded (I could almost see the smoke coming out of his ears!), Dobbs was yet another example of the naivete and hubris of a politicized Supreme Court. The Court flouted scientific evidence, overruling knowledgeable and skilled medical practitioners in a field in which they were totally unqualified.
I will readily admit that my recommendation–vote Blue to send a message–might require a few Hoosiers to be single-issue voters this November. Those of us who have already surveyed the caliber of candidates being offered by Indiana’s GOP and the issues they are peddling will have no problem voting Blue from top to bottom, but pro-choice Republicans may find it more difficult (although really, Republicans–have you looked at your statewide ticket? Those MAGA theocrats sure don’t resemble the Republicans I used to know…)
Trump keeps saying that abortion/reproductive liberty is no longer a “big deal” electorally. He’s so wrong.
Even one election cycle that turned Indiana Blue–or even purple–would send a much-needed message to our legislative overlords. And we might even elect competent and thoughtful public servants for a change!
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